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Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Diagnosis and Workup ... Check plasma osmolality ... NORMAL PLASMA OSMOLALITY ... DECREASED PLASMA OSMOLALITY ... Hypernatremia #Diagnosis #Workup
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Lactated Ringers ... mEq/L • Sodium lactate ... 28 mEq/L • Osmolarity ... 154 mEq/L • Osmolarity ... mEq • Sodium Lactate
Crystalloid Composition - Normal Saline, Ringer's Lactate, Hartmann's Solution, PlasmaLyte Ca2+ Mg2+ Cl- Acetate Lactate Gluconate Bicarbonate
Saline, Ringer's Lactate ... Cl- Acetate Lactate ... Bicarbonate Osmolarity ... #LR #Ringers #Lactated
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... 1) Check Urine Osmolality ... Differential #Diagnosis #Workup
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup ... Calcium Chelators, Lactate ... #Hypocalcemia #Workup
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
electrolytes, osmolality ... management #algorithm #workup
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... urea, uric acid, osmolarity ... #Injury #AKI #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
30ml.kg-1 or blood lactate ... including blood gas, lactate ... Check serial lactates ... Diagnosis #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... categories Lactate ... The use of lactate ... With ↑ Lactate ... / hypoxemia -> focus
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... Additional metastatic workup ... dictated by symptoms
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